Epidural; Analgesia, Local Infiltration
Conditions
Keywords
Ranawat, Epidural analgesia, Knee replacement surgery
Brief summary
The results of combining infiltrative analgesia applied by orthopedists with epidural analgesia applied by anesthesiologists after knee replacement surgery will be compared. It aims to compare epidural analgesia with the maximum reduction of postoperative pain in patients, as well as in terms of both analgesic and complications. The study will include patients who have undergone knee replacement surgery for six months. In the study, we will compare the results of painkillers applied to the patient from the waist or knee after the waist numbing anesthesia, which includes some of the routinely applied protocols of your knee replacement surgery. It is a condition that will be monitored after surgery. The study aims to reduce maximum pain with two painkiller methods applied in small amounts or together. No interventional application will be made to the patient who will undergo surgery other than routine application. After the surgery, you will be asked verbally about your pain level and side effects at certain hours after the surgery and the amount of painkillers used and the amount of painkillers will be determined according to the follow-up hours (1st, 2nd, 6th, 12th, 24th and 48th hours after the surgery). In addition to these, complications will also be monitored. The results of patients who can be fully followed up at the end of 6 months will be presented as a scientific study.
Interventions
OTHERRecording the amount of medication and the number of complications according to observational follow-up
Observational monitoring of patients and recording data for 24 hours
Sponsors
Namik Kemal University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
1. Age range 18-75 2. Those who underwent surgery with combined spinal anesthesia 3. Drugs administered with combined spinal anesthesia and intra-articular infiltration analgesia
Exclusion criteria
1. Those who do not want to participate in the study 2. Those who underwent surgery under general anesthesia 3. Patients outside the specified age range 4. Patients with inadequate follow-up results (patient, drug and device related)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Amount of local anesthetic used for epidural analgesia | 6 months | Is there a statistical difference between the two groups? Monitoring the effect of local infiltration on the amount of epidural analgesic agent |
| Differences between the two groups in terms of complications and need for additional analgesia | 6 months | The effect of epidural analgesia and infiltration analgesia on complications and additional analgesia needs in patients |
Outcome results
None listed